The Pride of Chicago Tribute Wall Donor Agreement

Thank you for supporting The Pride of Chicago campaign. Please return this completed form via email to [email protected] or mail to The Pride of Chicago Lincoln Park Zoo 2001 N Clark St Chicago, IL 60614.

Name: ______

Address: ______

City: ______State: Zip:

Phone: Email:

For donor lists and Lincoln Park Zoo’s Annual Report, how would you like your name displayed?

Please check here if you wish to remain anonymous.

Tile Selection Grassland - $10,000 – 21” x 5”- Inscription may have up to 30 characters per line and up to 3 lines. Savanna - $5,000 – 13.75” x 5” - Inscription may have up to 30 characters per line and up to 4 lines. Desert - $2,500 – 5.6” x 5” - Inscription may have up to 14 characters per line and up to 6 lines.

Please fill in the text you would like to see on your tile. Note: We cannot accommodate insignias, pictures, emblems, symbols, or emojis. Character count includes spaces and punctuation.

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Form of Payment: Credit Card

Payments may also be made via credit card by calling (312) 742-2332 or by visiting us online at lpzoo.org/lhwall. Check Checks should be made payable to Lincoln Park Zoo. Please mail all checks to: The Pride of Chicago Lincoln Park Zoo 75 Remittance Drive Dept# 92085 Chicago IL 60675-2085

Payment Options (select one):

One-time payment

Three Payments

Payment due date: Installments:

1. Upon receipt of agreement • Desert: Initial payment of $1,000, two subsequent payments of 2. June 31, 2021 $750 3. June 31, 2022 • Savanna: Initial payment of $2,000, two subsequent payments of $1,500 • Grassland: Initial payment of $4,000, two subsequent payments of $3,000 First payment is required upon signing this gift agreement, or no later than June 30, 2021 to guarantee installation prior to the opening of Pepper Family Wildlife Center. All future payments must be made within three years of the date of this agreement. Lincoln Park Zoo will send payment reminders 30 days prior to scheduled due date. To discuss additional payment options, please call (312) 742-2332.

Terms This dedication is for the life of the exhibit. No additional benefits will accrue to the donor as a result of this gift. The donor agrees that Lincoln Park Zoo reserves the right to randomly assign tile placement. If at any point the plaque is damaged, Lincoln Park Zoo is responsible for its maintenance and/or repair.

The undersigned agree to the terms of this agreement:

Signature:

Donor’s Name (Printed):

Date:

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